Drug Manufacturers with OBRA 1990 Rebate Agreements

The following codes for Drug Manufacturers With OBRA 1990 Rebate Agreements are for use on the Pharmacy Services Claim Form when billing for drug products.

To determine which manufacturers' products are covered by rebate agreements, providers must use the manufacturer portion of the product's National Drug Code (NDC) number. (Manufacturer names can change without notice and should not be used to determine coverage.) The manufacturer, or "labeler," portion of the NDC number is the first section of the NDC number. For example, if the NDC number on the drug package label is 2-55-1, the manufacturer labeler code would be 00002. (Note: Leading zeros have been added to make the NDC Labeler Code a 5-digit number.)